Around 50 NOMINATION FORM

Around 50 NOMINATION FORM

To nominate yourself, a colleague, client, business associate or friend for Long Island Business News' Around 50 Award - please complete the form below by first entering information on the person you are nominating and then entering your own contact information.

DEADLINE FOR SUBMITTING NOMINATIONS: JUNE 13

INDICATE TYPE OF NOMINATION:*

I AM NOMINATING MYSELF

NOMINATION OF ANOTHER

SELECT THE TYPE OF NOMINATION YOU ARE SUBMITTING. FILL IN THE BOXES GIVING US INFORMATION ON THE NOMINEE - NAME, JOB TITLE, COMPANY AND BUSINESS ADDRESS, AND OTHER CONTACT INFORMATION. INCLUDING THE EMAIL ADDRESS OF THE NOMINEE IS VERY IMPORTANT SO THEY CAN BE CONTACTED FOR FURTHER INFORMATION AND TO CONFIRM FACTS.

Who is being nominated?*

FirstLast

Job Title of nominee*

Provide company, address, city, zip code for nominee:*

Street AddressAddress Line 2CityStateZip Code

Provide telephone number for nominee:*

Provide email address for nominee:*

TO NOMINATE YOURSELF:

Tell us about yourself, your career and leaderhip in business. As a nominee, you should demonstrate leadership in your chosen career, provide details about your rise through the company/organization for which you work, or, in the case of an entrepreneur/business owner, provide details regarding your dedication and initiative to grow your business and its success. Please include information on any involvement you might have outside of your chosen career, such as mentoring, community activities or volunteer work. Include insight that might help our judges in making a decision. Your submission may be in the form of a bio, CV document or resume that can be uploaded. Use upload feature below.

UPLOAD A CURRENT BIO, CV OR RESUME

TO NOMINATE A LONG ISLAND-BASED COMPANY OR NOT-FOR-PROFIT ORGANIZATION:

Tell us as much as you can about the company or organization's beginning and its growth and be sure to include the date it was established, if known. Tell us about its history, its contributions to the Island's business community and why you feel this company or organization should be recognized. Include information on any involvement the company/organization engages in such as mentoring, community involvement or volunteer work. Tell us why this nominee should be recognized. Include personal insight that might help our judges in making a decision. Your nomination for this category should be a word document and may be up to 500 words in length. Use the upload feature below.

UPLOAD A WORD DOCUMENT WITH REQUIRED INFORMATION

You may also upload a testimonial letter for your nominee

TO NOMINATE A BUSINESS PERSON:

Tell us about the accomplishments of the business leader being nominated, their mentoring and community involvement. Describe your nominee and include information on any involvement your nominee might have outside of his/her chosen career, such as mentoring, community involvement or volunteer work. PLEASE PROVIDE A BIO OR RESUME AND DATE OF BIRTH, IF POSSIBLE. If it isn't included with your nomination, we'll contact your nominee to request a short biography and confirm the birth date at a later time. Tell us why this nominee should be recognized. Include personal insight that might help our judges in making a decision. Your nomination for this category should be a word document and may be up to 500 words in length. Use the upload feature below to submit a word document, bio, CV or resume.

Upload a current bio, CV document or resume for your nominee, if available:

You may also upload testimonial letters for your nominee

WHO IS SUBMITTING THIS NOMINATION?*

FirstLast

BE SURE TO FILL IN THIS INFORMATION. WE NEED THIS IN CASE WE HAVE A QUESTION.

Company name and contact information of person submitting nomination:*